Hair Loss Obesity

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Posted by admin | Posted in Uncategorized | Posted on 16-06-2008

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Hair Loss Obesity
Hair Loss Obesity
Medical billing/posting question – experts please?

I used to work for a billing company and if they got a superbill with aprimary diagnosis that they knew an insurance company would not pay for, ie. mental problems, hair loss, obesity, but the doctor put other problems, say hypertension, they would list the medical diagnosis and omit the non covered ones. I think this is insurance fraud. If so, how could an audit be done anonymously? I would love to close them down. You can tell I have a beef with this company.

Yes, its fraud…. However, its really tough to prove. Ultimately, you’d have to start with an insurance company they have ‘defrauded’ at some point. Call them. Tell them you wish to report suspected fraudulent activity. They all have a ‘fraud investigation’ unit… Someone will speak w/ you & take any information you have concerning suspected activity… They don’t care if you’re blowing the whistle, or a patient…. They just want it to stop.

An insurance company would have to request chart notes and the super bills to investigate the accusations… its lengthy & tedious. CYA!!!

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